PDF(Pubmed)
Abstract：
UNASSIGNED: Omental infarction (OI) is an uncommon cause of acute abdominal pain. A high index of clinical suspicion is required for diagnosis of OI as the incidence is less than 1 %, presenting with abdominal pain. We report primary OI\'s clinical and radiological profile from a single tertiary care hospital in India.
UNASSIGNED: In this retrospective cross-sectional study, the electronic medical and radiology records of patients with abdominal pain were reviewed over seven years (2015-2022). Variables were systematically collected and analyzed.
UNASSIGNED: A total of 22 patients diagnosed with primary OI were included in this study. Male preponderance (63.6 %) was noted with a mean age of 47.45 years (SD ± 13.84; range: 18-72 years). Most patients belonged to class I obesity (according to the Asia-Pacific body mass index classification) with a mean BMI of 26.56 kg/m2 (SD ± 3.21 kg/m2). All patients had abdominal pain as the primary symptom, with a mean duration of 8.64 days (SD ± 10.15; range: 1-42 days). The most common locations of pain were the right hypochondrium (27.3 %) and diffuse (27.3 %), followed by the right iliac fossa (18.1 %). Most (95.45 %, n=21/22) patients were treated conservatively, and only one required surgical intervention.
UNASSIGNED: Primary OI is a rare and benign cause of acute abdomen. Obesity is a risk factor but does not correlate with the size or severity of OI. Radiological imaging, like a computed tomography (CT) scan, is essential for diagnosis. A conservative management line should be the first approach in treating primary OI before considering surgical options.
UNASSIGNED: In this retrospective cross-sectional study, the electronic medical and radiology records of patients with abdominal pain were reviewed over seven years (2015-2022). Variables were systematically collected and analyzed.
UNASSIGNED: A total of 22 patients diagnosed with primary OI were included in this study. Male preponderance (63.6 %) was noted with a mean age of 47.45 years (SD ± 13.84; range: 18-72 years). Most patients belonged to class I obesity (according to the Asia-Pacific body mass index classification) with a mean BMI of 26.56 kg/m2 (SD ± 3.21 kg/m2). All patients had abdominal pain as the primary symptom, with a mean duration of 8.64 days (SD ± 10.15; range: 1-42 days). The most common locations of pain were the right hypochondrium (27.3 %) and diffuse (27.3 %), followed by the right iliac fossa (18.1 %). Most (95.45 %, n=21/22) patients were treated conservatively, and only one required surgical intervention.
UNASSIGNED: Primary OI is a rare and benign cause of acute abdomen. Obesity is a risk factor but does not correlate with the size or severity of OI. Radiological imaging, like a computed tomography (CT) scan, is essential for diagnosis. A conservative management line should be the first approach in treating primary OI before considering surgical options.
摘要：
■Omental梗塞（OI）是急性腹痛的罕见原因。OI的诊断需要高的临床怀疑指数，因为发病率低于1%。表现为腹痛。我们报告了印度一家三级医院的初级OI的临床和放射学概况。
■在这项回顾性横断面研究中，我们回顾了7年(2015-2022年)腹痛患者的电子医疗和放射学记录.系统地收集和分析变量。
■本研究共纳入22例诊断为原发性OI的患者。男性占优势（63.6％），平均年龄为47.45岁（SD±13.84；范围：18-72岁）。大多数患者属于I类肥胖（根据亚太体重指数分类），平均BMI为26.56kg/m2（SD±3.21kg/m2）。所有患者均以腹痛为主要症状,平均持续时间为8.64天（SD±10.15；范围：1-42天）。最常见的疼痛部位是右侧软骨下（27.3%）和弥漫性（27.3%），其次是右髂窝(18.1%)。大多数（95.45%，n=21/22)患者接受保守治疗，只有一个需要手术干预。
■原发性OI是一种罕见且良性的急腹症病因。肥胖是一种危险因素，但与OI的大小或严重程度无关。放射成像,比如计算机断层扫描(CT)扫描,对诊断至关重要。在考虑手术选择之前，保守的治疗路线应该是治疗原发性OI的第一种方法。
■在这项回顾性横断面研究中，我们回顾了7年(2015-2022年)腹痛患者的电子医疗和放射学记录.系统地收集和分析变量。
■本研究共纳入22例诊断为原发性OI的患者。男性占优势（63.6％），平均年龄为47.45岁（SD±13.84；范围：18-72岁）。大多数患者属于I类肥胖（根据亚太体重指数分类），平均BMI为26.56kg/m2（SD±3.21kg/m2）。所有患者均以腹痛为主要症状,平均持续时间为8.64天（SD±10.15；范围：1-42天）。最常见的疼痛部位是右侧软骨下（27.3%）和弥漫性（27.3%），其次是右髂窝(18.1%)。大多数（95.45%，n=21/22)患者接受保守治疗，只有一个需要手术干预。
■原发性OI是一种罕见且良性的急腹症病因。肥胖是一种危险因素，但与OI的大小或严重程度无关。放射成像,比如计算机断层扫描(CT)扫描,对诊断至关重要。在考虑手术选择之前，保守的治疗路线应该是治疗原发性OI的第一种方法。
